TABLE 2

Adolescents’ Reports of Provider’s Brief Counseling Behaviors and Ratings of Visit

Provider Counseling BehaviorsNew EnglandPrague, Czech Republic
nTAU n (%) (n = 1015)cSBA n (%) (n = 1044)aRRRa,b (95% CI)nTAU n (%) (n = 296)cSBA n (%) (n = 292)aRRRa,b (95% CI)
Advised about alcohol2059441 (42.2)707 (69.7)1.57 (1.44–1.71)58670 (23.6)213 (73.2)3.10 (2.52–3.80)
 Not to startc1280278 (45.6)478 (71.3)1.53 (1.38–1.70)20725 (25.8)78 (70.9)2.72 (1.90–3.90)
 To stopd77985 (19.6)153 (44.3)2.19 (1.70–2.84)37919 (9.6)76 (42.0)4.36 (2.76–6.90)
Advised about cannabis and drugs2059470 (45.0)720 (70.9)1.50 (1.38–1.63)58872 (24.3)231 (79.1)3.27 (2.67–4.00)
 Not to startc1609366 (46.0)568 (69.9)1.47 (1.34–1.61)45749 (21.0)167 (74.2)3.56 (2.75–4.59)
 To stopd44963 (25.5)109 (54.0)2.18 (1.60–2.97)12916 (16.1)34 (50.7)3.17 (1.68–5.97)
Addressed health risks of alcohol2058336 (32.2)673 (66.3)2.00 (1.80–2.23)58836 (12.2)168 (57.5)4.79 (3.48–6.59)
Addressed health risks of cannabis and drugs2057334 (32.1)657 (64.7)2.01 (1.81–2.24)58837 (12.5)160 (54.8)4.49 (3.27–6.18)
“Excellent”/ “Very Good” rating of provider informatione1162318 (70.5)545 (76.6)1.09 (1.01–1.18)30027 (38.6)45 (63.0)1.67 (1.22–2.30)
“Very” likely to follow provider advice2057554 (53.1)603 (59.5)1.13 (1.04–1.23)58865 (22.0)94 (32.2)1.50 (1.31–1.98)
“Very” satisfied with visit2057646 (61.9)679 (66.9)1.07 (1.00–1.15)588115 (38.9)127 (43.5)1.12 (0.92–1.37)
  • a aRRR with TAU as the reference group.

  • b US logistic regression models were run using SUDAAN v. 10.0 software to account for the multisite sampling design, and adjusted for age, gender, race, parent education level, provider type, provider gender, well visit, first visit, any lifetime smoking, any lifetime alcohol or drug use. Czech Republic models adjusted for age and gender only as there were no other differences between experimental groups.

  • c Rates of advice to not start alcohol or cannabis/drug use were calculated only for adolescents who had no prior use of the substance.

  • d Rates of advice to stop were calculated only for adolescents who had ever used the substance.

  • e Among adolescents reporting receiving advice about alcohol or drugs.